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1912420977
BRANDON L. MCINTIRE
FORT WAYNE, IN
NPI
1912420977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IN 71007278A)
Enumeration Date
2017-07-21
Last Update Date
2020-09-29
Business Address
BRANDON L. MCINTIRE NP-C
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-432-2297
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Mailing Address
BRANDON L. MCINTIRE NP-C
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514
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